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F 'T a a-1680 nj <br /> `may :,QUOIA ANALYTICAL Chesa, : ';e Drive • Redwood City, CA 94063 (650) 364-9600 FAX (650) ti.;.�.;ti;.'k9233 <br /> ❑ 819 Striker�tu�e., Suite 8 • Sacramento, CA 95834• (916) 921-9600 FAX (916) 9i 100 <br /> CHAIN OF CUSTODY ❑ 404 N.Wiget Lane • Walnut Greek, CA 94598 • (510) 968-9600. FAX (510) 988-9673 <br /> Company Name: �T / �5�;�. _� � °Project Name' J-� 1� 41A A�25711- 000 <br /> Address: Oh LS Billing Address (if different): <br /> City: I�V_ e �J o State: �� Zip Code: <br /> Telephone: g)9 _ S 79_ Z FAX#: )��_c, ZZ25 P.O.#: m <br /> Report To: a,- Sampler: OC Data: W-f-evel D (Standard) ElLevel C ❑ Level B ❑ Level A v <br /> x <br /> Turnaround lj�orking Days ❑3 Working Days ❑2 -B Hours ❑ Drinking Water Analyses Requested <br /> Time: ❑ 7 Working Days ❑2 Working Days O Waste Water <br /> ❑ 5 Working Days ❑24 Hours Other <br /> Client Date/Time Matrix. # of Cont. Sequoia's ` Commentst. <br /> Sample 1.D. Sampled Desc. Cont. Type Sample # z- <br /> p&W - 02 VJ <br /> 2. Cr <br /> M�'''' - 1Cao 31�s s V1, n <br /> ' ft- ,� o M Vj- <br /> qa re _ <br /> rA% <br /> ¢ <br /> 4. <br /> ;. _ a h. <br /> 5. <br /> r s 7 r 7.7 <br /> 6. 717 n tM <br /> �^ L <br /> 4 <br /> 4 <br /> 7 : , — <br /> ry , <br /> 4 <br /> -0, <br /> h •" 3..;s. -::st9 MW7 Cr <br /> 8. C <br /> N <br /> 9. <br /> 10. <br /> Relinquished By: Date: Time: Received By: l00% Date:') 4 Time:1p;�C) <br /> Relinquished By: Date: Time: Received By: Date: Time: <br /> Relinquished By: Date: Time: Received By Lab: Date: Time: <br /> Were Samples Received in Good Condition? ❑Yes ❑ No Samples on Ice?. ❑Yes ❑ No Method of Shipment Page—of <br />